Regmi Shobha, Liu Daniel Dan, Shen Michelle, Kevadiya Bhavesh D, Ganguly Abantika, Primavera Rosita, Chetty Shashank, Yarani Reza, Thakor Avnesh S
Department of Radiology, Interventional Radiology Innovation at Stanford (IRIS), Stanford University, Palo Alto, CA, United States.
Front Mol Neurosci. 2022 Oct 6;15:1011225. doi: 10.3389/fnmol.2022.1011225. eCollection 2022.
Alzheimer's disease (AD) is a major cause of age-related dementia and is characterized by progressive brain damage that gradually destroys memory and the ability to learn, which ultimately leads to the decline of a patient's ability to perform daily activities. Although some of the pharmacological treatments of AD are available for symptomatic relief, they are not able to limit the progression of AD and have several side effects. Mesenchymal stem/stromal cells (MSCs) could be a potential therapeutic option for treating AD due to their immunomodulatory, anti-inflammatory, regenerative, antioxidant, anti-apoptotic, and neuroprotective effects. MSCs not only secret neuroprotective and anti-inflammatory factors to promote the survival of neurons, but they also transfer functional mitochondria and miRNAs to boost their bioenergetic profile as well as improve microglial clearance of accumulated protein aggregates. This review focuses on different clinical and preclinical studies using MSC as a therapy for treating AD, their outcomes, limitations and the strategies to potentiate their clinical translation.
阿尔茨海默病(AD)是与年龄相关的痴呆症的主要病因,其特征是进行性脑损伤,逐渐破坏记忆和学习能力,最终导致患者日常生活能力下降。尽管AD的一些药物治疗可用于缓解症状,但它们无法限制AD的进展,且有多种副作用。间充质干/基质细胞(MSCs)因其免疫调节、抗炎、再生、抗氧化、抗凋亡和神经保护作用,可能成为治疗AD的一种潜在治疗选择。MSCs不仅分泌神经保护和抗炎因子以促进神经元存活,还转移功能性线粒体和微小RNA以增强其生物能量特征,并改善小胶质细胞对积累的蛋白质聚集体的清除。本综述重点关注使用MSCs治疗AD的不同临床和临床前研究、其结果、局限性以及促进其临床转化的策略。